How Do You Complete an FMLA Form?


Quick Answer

To complete the FMLA form, provide detailed information about the family member who needs medical care. One section of the form requires completion by a health care provider. The United States Department of Labor website offers a sample form for review.

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Full Answer

The Family Medical Leave Act became law in 1993. The Department of Labor website explains that employees can take unpaid leave for the purpose of caring for a family member in medical need. The Act protects the employee's job during the period of absence, guaranteeing that the worker will return to the same or comparable position. The employee also maintains his or her group health insurance coverage during the leave period.

The FMLA entitles employees to a total of 12 weeks of leave for each 12-month period of work. If the injured party serves in the armed forces, the allowable leave time may extend to 26 weeks, states the Department of Labor.

Only certain family members fall under the coverage of FMLA, according to the Department of Labor. Employees can take leave within one year of childbirth to care for the newborn baby. Adoption also triggers FMLA leave. An employee may also take leave to care for a spouse, child or parent with serious medical care needs. Leave availability additionally extends to the employee's own health, if the medical condition substantially interferes with the performance of work duties.

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